WITHDRAWAL OF CHRONIC CHLORPROMAZINE MEDICATION: AN EXPERIMENTAL ANALYSIS

Approximately 50% of all institutionalized, mentally retarded adults receive psychotropic medication to control inappropriate behavior. In this study, behaviors exhibited by five retarded adults were formally observed while they were on and off medication. Each subject had been receiving chlorpromazine for six or more years prior to the start of the study. The drug was withdrawn and readministered using a double-blind B-A-B (drug-placebo-drug) design. Effects were highly individualized. Some desirable behavior emerged when chlorpromazine was discontinued.     

Structural complexity as a determinant of serial pattern learning

A new methodology extends the study of serial pattern learning to nonhuman organisms by constructing patterns using elements that are both familiar and motivationally meaningful to animals. Two experiments examine the ability of rats to anticipate various quantities of food as measured by running times in a runway when the quantities occur in a serial order. In Experiment 1, a serial monotonic pattern (14-7-3-1-0 food pellets) produced more rapid learning and more accurate anticipation of the various quantities (“tracking”) than a serial nonmonotonic pattern (14-1-3-7-0 food pellets), particularly with respect to the final 0-pellet element. In Experiment 2, the same monotonic pattern generated faster learning and more accurate anticipation of pattern elements than a weakly monotonic pattern (14-5-5-1-0 pellets). Associative explanations including simple excitatory or inhibitory effects, temporal anticipation, reinforcement contrast, and the number and discriminability of pairwise associations are not adequate to account for the data. Rather, the formally defined structural complexity of each pattern adequately predicts its relative difficulty.     

Improving Delivery Behaviors During Exposure for Pediatric OCD: A Multiple Baseline Training Trial With Community Therapists

This study tested whether a new training tool, the Exposure Guide (EG), improved in-session therapist behaviors (i.e., indicators of quality) that have been associated with youth outcomes in prior clinical trials of exposure therapy. Six therapists at a community mental health agency (CMHA) provided exposure therapy for 8 youth with obsessive–compulsive disorder (OCD). Using a nonconcurrent multiple baseline design with random assignment to baseline lengths of 6 to 16 weeks, therapists received gold-standard exposure therapy training with weekly consultation (baseline phase) followed by addition of EG training and feedback (intervention phase). The primary outcome was therapist behavior during in-session exposures, observed weekly using a validated coding system. Therapist behavior was evaluated in relation to a priori benchmarks derived from clinical trials. Additional outcomes included training feasibility/acceptability, therapist response to case vignettes and beliefs about exposure, and independent evaluator-rated clinical outcomes. Three therapists reached behavior benchmarks only during the EG (intervention) phase. Two therapists met benchmarks during the baseline phase; one of these subsequently moved away from benchmarks but met them again after starting the EG phase. Across all therapists, the percentage of weeks meeting benchmarks was significantly higher during the EG phase (86.4%) vs. the baseline phase (53.2%). Youth participants experienced significant improvement in OCD symptoms and global illness severity from pre- to posttreatment. Results provide initial evidence that adding the EG to gold-standard training can change in-session therapist behaviors in a CMHA setting.     

Black Feminist Figures: Interventions and Inheritances

In both popular culture and academic disciplines, feminism, especially feminisms of women of color, is increasing in popularity. But with that popularity comes certain challenges. It would seem that, due to its popularity, Black feminism has gained a nominal invite to professional philosophy’s (largely) white school social affair. But it has been invited by hosts who don’t quite know what to do with Black feminism once it’s arrived.     

Working Memory in Pediatric Epilepsy: A Systematic Review and Meta-Analysis

Neuropsychology Review - Working memory is a multicomponent system that is supported by overlapping specialized networks in the brain. Baddeley’s working memory model includes four...     

A Systematic Review of Sleep Associations in Parents and Children

This systematic review aimed to examine sleep associations in a) typically developing children and their parents, and b) children with neurodevelopmental disorders and their parents. Literature search was conducted on PubMed, PsycINFO, EMBASE and Scopus databases for articles examining sleep associations between parents and children. Thirty studies were included in the final review. Based on the first aim, sleep associations between parents and typically developing children were observed for sleep quality, sleep duration and sleep efficiency. However, evidence for associations between sleepiness levels in parents and children and sleep schedules related to bedtime or waketime was limited. Based on the second aim, children with neurodevelopmental disorders and their parents reported greater sleep disturbances in comparison to typically developing children and their parents. The review concluded that sleep in parents and children is interrelated across a number of sleep parameters. It also revealed some preliminary evidence on bidirectionality in parent-child sleep, which warrants further examination. The review highlights the need to examine the mediating role of environmental factors on the interactions between parent-child sleep. Rigorous, longitudinal designs should be employed to explore the pathways through which parents may impact their children’s sleep and functioning and vice-versa.

     

Motive Satisfaction in Chronic Pain Patients: Does It Improve in Multidisciplinary Inpatient Treatment and,if so,Does It Matter?

Journal of Clinical Psychology in Medical Settings - According to consistency theory, insufficient motive satisfaction (motivational incongruence) is associated with psychological distress and...     

How Far Have we Come? An Integrative Review of the Current Literature on Sense of Community and Well-being

Sense of community and well-being are considered core tenets in the field of community psychology, acting as focal points for theory, research, and action. This integrative review synthesizes the empirical literature on sense of community and well-being with respect to four research questions focused on the relationships between these variables, the methodologies used to study those relationships, and how future research might expand upon the current literature. A search of the available literature produced 30 articles that met the search criteria, based primarily on conceptualizations and measurement of both sense of community and hedonic and eudaimonic well-being. This review suggests a general consensus across the literature of a positive relationship between sense of community and well-being among both youth and adults in a variety of settings, and discusses the strengths and limitations of this area of research, pointing to the need for more nuanced, ecologically valid research that incorporates more qualitative and critical methodologies. We hope that this review can promote a more thorough understanding of how sense of community and individual well-being relate to each other, and that ongoing research in this area can be a catalyst for action research and interventions that are applied to pressing contemporary issues as well as strengths-based approaches focused on how to foster and support the well-being of individuals within their community contexts.